inforMED
InjuryEBR

EVACUATOR

Received Dec 30, 1992 · Event occurred Dec 10, 1992

Report 33141-1992-00002 · MDR key 2189

Device

Generic name

N/a

Model number

N/A

Catalog number

00-2500-004-10

Lot number

UNKNOWN

Narrative

Description of Event or Problem

THE SYNDER HEMOVAC WAS USED ON THE PATIENT AFTER SHE HAD A CAROTID ENDARECTOMY PROCEDURE. EVACUATOR DID NOT SUCK THE WOUND PROPERLY AND A LARGE HEMATOMA DEVELOPEDDEVICE LABELED FOR SINGLE USE. PATIENT MEDICAL STATUS PRIOR TO EVENT: UNKNOWN. THERE WAS NOT MULTIPLE PATIENT INVOLVEMENT.INVALID DATA - ON DEVICE SERVICE/MAINTENANCE. NO DATA - REGARDING DATE LAST SERVICED. SERVICE PROVIDED BY: INVALID DATA. INVALID DATA - SERVICE RECORDS AVAILABILITY. NO IMMINENT HAZARD TO PUBLIC HEALTH CLAIMED. DEVICE USED AS LABELED/INTENDED.INVALID DATA - REGARDING EVALUATION BY USER AFTER EVENT. METHOD OF EVALUATION: INVALID DATA. RESULTS OF EVALUATION: INVALID DATA. CONCLUSION: INVALID DATA. CERTAINTY OF DEVICE AS CAUSE OF OR CONTRIBUTOR TO EVENT: INVALID DATA. CORRECTIVE ACTIONS: NO DATA. INVALID DATA - ON DEVICE DESTROYED/DISPOSED OF STATUS.